0338); however, better control was not sustained at the five-year follow-up (−0.15 mmol/dL, p = 0.133). Low-density lipoprotein did not show any considerable improvement at the one- and five-year follow-up (−0.27 mmol/dL, p = 0.150; −0.24 mmol/dL, p = 0.138, respectively). There was a statistically significant improvement in DM control in these patients and in those on preoperative statins. Weight loss was sustained at one and five years. CONCLUSION Bariatric surgery does not confer a uniform improvement in lipid profile in the long term. It does, however, induce efficient weight loss and improvement in diabetic profile, even in those on preoperative statins.INTRODUCTION Stroke patients with underlying chronic kidney disease (CKD) and those on haemodialysis have complex rehabilitation needs. The survival and functional outcomes of these patients are limited. This study aimed to review post-stroke survival and functional outcomes following rehabilitation in patients with CKD and those on haemodialysis. METHODS The study involved a retrospective analysis of consecutive stroke patients with underlying CKD (stages G3b, G4 and G5; n = 30) and those on dialysis at the time of stroke (n = 7), who underwent in-patient rehabilitation between June 2008 and May 2017. The mean duration of follow-up was 56 months. Demographic details, associated comorbidities and laboratory parameters were reviewed. Baseline and follow-up scores of the National Institute of Health Stroke Scale (NIHSS) and Functional Independence Measure (FIM), and demise dates were analysed. RESULTS Of the 37 consecutive stroke patients (mean age 64.7 years), 34 had ischaemic stroke and three had haemorrhagic transformation. Significant improvements in NIHSS and FIM scores were observed from the time of admission to post discharge. Older age, longer duration of hospital stay, lower estimated glomerular filtration rate and low haemoglobin levels were all significantly related to mortality. CONCLUSION Despite significant functional and neurological improvements following rehabilitation, stroke patients with underlying CKD had higher average duration of hospital stay, more recurrent hospitalisations and poorer survival outcomes than those without underlying CKD. This could be attributed to the complications associated with CKD rather than stroke. Multidisciplinary community rehabilitation may be an alternative to reduce recurrent hospitalisations and morbidity in this group of patients.A 53-year-old man presented with high fever and a non-productive cough but had no recent travel history. He deteriorated clinically very rapidly and was intubated. The endotracheal tube microbiological culture isolated Klebsiella pneumoniae. On chest computed tomography, the presence of mixed ground-glass airspace opacities, patchy consolidation and a ‘crazy paving’ appearance was atypical for Klebsiella infection. As there was also a lack of cavitating nodules, lymphadenopathy and pleural effusion, atypical pneumonia due to COVID-19 was diagnosed. The patient tested positive for COVID-19. He was isolated and subsequently recovered.in English, Spanish El futbol americano es considerado uno de los deportes con el mayor número de lesiones y participantes a nivel institucional, tanto en universidades públicas y mayormente en privadas, además de ser un deporte en el cual los jugadores se encuentran expuestos a mayor contacto y demanda física. Ante esta situación, es importante que tanto los equipos deportivos como los deportistas integren y trabajen en conjunto con un fisioterapeuta para recibir una mejor atención, tratamiento y prevención de lesiones deportivas, esto con la finalidad de obtener un mejor beneficio a lo largo de su trayectoria deportiva, mejorar su rendimiento deportivo, calidad de vida y reducir el riesgo de incidencia de lesiones. En México, el futbol americano tiene varios años generando un impacto mediático y social cada vez mayor en diferentes universidades; sin embargo, existe una falta de conocimiento documentado sobre los niveles de capacidad física y las características de los jugadores mexicanos que compiten al máximo nivel, lo cual pudiera dar la pauta a entrenadores y directivos para la toma de decisiones en el plano deportivo o administrativo. Considerando la escasa información que existe en la literatura sobre las lesiones de futbol americano en población de enseñanza media superior en nuestro país, se realizó el presente trabajo con el objetivo de determinar la proporción, el tipo de lesiones y las secuelas que han presentado los jugadores de futbol americano de la Universidad del Valle de México, Campus Cuernavaca.In this paper, we aimed to provide professional guidance to practising gastrointestinal (GI) endoscopists for the safe conduct of GI endoscopy procedures during the current coronavirus disease 2019 (COVID-19) pandemic and future outbreaks of similar severe respiratory tract infections in Singapore. It draws on the lessons learnt during the severe acute respiratory syndrome (SARS) epidemic and available published data concerning the COVID-19 pandemic. It addresses measures before, during and after endoscopy that must be considered for both non- infected and infected patients, and provides recommendations for practical implementation.in English, Spanish Introducción la tuberculosis (TB) es una enfermedad infectocontagiosa y curable que es producida por el complejo Mycobacterium tuberculosis; afecta tanto a hombres como a mujeres de cualquier edad. Objetivo caracterizar casos de TB presentados en la Delegación Michoacán del Instituto Mexicano del Seguro Social (IMSS), en el periodo 2015 2018. https://www.selleckchem.com/products/ag-825.html Material y métodos estudio transversal, observacional y analítico. Se incluyeron casos con expediente clínico con información completa, registrados en el Sistema de Información de Vigilancia Epidemiológica, del 2015 al 2018, en la Delegación Michoacán. Se obtuvo estadística descriptiva, medidas de frecuencia y asociación utilizando XMH y chi cuadrada. Resultados se encontraron 328 casos de TB, 56% eran hombres; el grupo más afectado fue el de 65 años o más con 20%; 28% fueron amas de casa; 32% tenía la primaria; 30% eran de la jurisdicción Lázaro Cárdenas; 70% tuvo TB pulmonar; 88% se curó; 25% estaban asociados a diabetes; la asociación a TB pulmonar con algunos factores de riesgo fue 1.